Evidence map›Paper›PMID 30884251›Full record

ReviewExpert review of clinical immunology2019

Recent advances in our understanding of mast cell activation - or should it be mast cell mediator disorders?

Theoharis C Theoharides, Irene Tsilioni, Huali Ren

Open access · greenAbstract readReview
In one paragraph

Review in Expert review of clinical immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
5.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 125 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Characteristics and outcomes of patients with pediatric-onset non-mastocytosis mast cell activation disorders: A CEREMAST study.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Role of Mast Cells and Their Mediators in Chronic Kidney Diseases.International journal of molecular sciences · 2025
    Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Mast cells and wound healing: Still an open question.Histology and histopathology · 2025
    Review
  18. Review
  19. Article
  20. Mast Cells in Human Health and Diseases 2.0.International journal of molecular sciences · 2024
    Article

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 2 countries.

Theoharis C Theoharidesa Molecular Immunopharmacology and Drug Discovery Laboratory, Department of Immunology , Tufts University School of Medicine , Boston , MA , USA.
Irene Tsilionia Molecular Immunopharmacology and Drug Discovery Laboratory, Department of Immunology , Tufts University School of Medicine , Boston , MA , USA.
Huali Rene Department of Otolaryngology , Beijing Electric Power Hospital , Beijing , China.
North China Electric Power University · CNTufts Medical Center · USTufts University · US

Funding

Stress Induces Skin Mast Cell Activation &VasodilationR01AR047652 · NIAMS · TUFTS UNIVERSITY BOSTON · PI THEOHARIDES, THEOHARIS C. · 2001 to 2011
$3.0M
Role of Neuropeptides in Diabetic Foot ProblemsR01NS066205 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI PRADHAN-NABZDYK, LEENA, VEVES, ARISTIDIS · 2010 to 2014
$1.9M
Brain mast cells and Chronic Fatigue SyndromeR01NS071361 · NINDS · TUFTS UNIVERSITY BOSTON · PI THEOHARIDES, THEOHARIS C. · 2010 to 2013
$1.4M
Restraint stress-induced neurogenic bladder inflammationR01DK062861 · NIDDK · TUFTS UNIVERSITY BOSTON · PI THEOHARIDES, THEOHARIS C · 2003 to 2006
$1.0M
NIAMS NIH HHS R01 AR047652NIDDK NIH HHS R01 DK062861NINDS NIH HHS R01 NS066205NINDS NIH HHS R01 NS071361
6 · The paper itself

Abstract

introductionAn increasing number of patients present with multiple symptoms affecting many organs including the brain due to multiple mediators released by mast cells. These unique tissue immune cells are critical for allergic reactions triggered by immunoglobulin E (IgE), but are also stimulated (not activated) by immune, drug, environmental, food, infectious, and stress triggers, leading to secretion of multiple mediators often without histamine and tryptase. The presentation, diagnosis, and management of the spectrum of mast cell disorders are very confusing. As a result, neuropsychiatric symptoms have been left out, and diagnostic criteria made stricter excluding most patients. Areas covered: A literature search was performed on papers published between January 1990 and November 2018 using MEDLINE. Terms used were activation, antihistamines, atopy, autism, brain fog, heparin, KIT mutation, IgE, inflammation, IL-6, IL-31, IL-37, luteolin, mast cells, mastocytosis, mediators, mycotoxins, release, secretion, tetramethoxyluteolin, and tryptase. Expert opinion: Conditions associated with elevated serum or urine levels of any mast cell mediator, in the absence of comorbidities that could explain elevated levels, should be considered 'Mast Cell Mediator Disorders (MCMD).' Emphasis should be placed on the identification of unique mast cell mediators, and development of drugs or supplements that inhibit their release.

Indexed as

AntigensHumansMast CellsMental DisordersNervous System DiseasesAntigensActivationantihistaminesautism spectrum disorderbrain fogcytokinesIgEIL-37IL-6inflammationKIT mutationluteolinmast cellsmastocytosismediatorsmyalgic encephalomyelitis/chronic fatigue syndromemycotoxinstetramethoxyluteolintryptase

Identifiers

PMID30884251
PMCPMC7003574
OpenAlexW2921095048

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.